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Home My WebLink About0020611-HVAC (furnace) � CITY OF OSHKOSH N° 20611 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS I �, �j �4!/ �Ct r � I�Z�� PLAN NO. OWNER C[ A'`'A ��{�/ `�� DESIGNER � USE/NATURE OF WORK �" - - BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit EATING CONTRACTOR �U—,�l'�N'N G f!nC� �h ` Heat � A/C ❑ Vent ❑ Fuel/System /w-G- Heat Loss �J`�S ✓ BTU'S � . ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fi�ures Switches Receptacies Circuits PLUMBING CONTRACTOR —BT WH —Disp WSoft _CBasin _Lav —Sh —DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other FEES: Valuation $ A`l�v- �� Permit Fee Paid $ .�.J'G `�� Park Dedication $ ISSUED BY ��'— Date �� Final/O.P. ��✓�g�i In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE , �-L/-iL!�-/?.��L�<��/� � � g� AGENT/O ER DATE � ADDRESS � � ! c�.�L —�L`Z! � TELEPHONE#